Citizen Support Organization (CSO) Name: Friends of Kissimmee Prairie Preserve Inc.
Mailing Address: 33104 NW 192nd Avenue, Okeechobee, Florida 34972
Telephone Number: 727-317-9450 Website Address: http://www.kissimmeeprairiefriends.org
Statutory Authority: Section 20.2551, F.S., Citizen support organizations; use of property; audit; public records; partnerships. In summary, the statute specifies the organizational requirements, operational parameters, duties of a CSO to support the Department of Environmental Protection (Department), or individual units of the Department, use of Department property, audit requirements, public records requirements, and authorizes public-private partnerships to enhance lands managed by the Department.
Section 258.015, F.S., Citizen support organizations; use of property; audit. In summary, the statute defines a CSO, requires authorization by the Division of Recreation and Parks, and specifies the use of property. This statute authorizes the Partnerships in Parks (PIP) program for state parks, the program’s operational parameters, CSO’s operational parameters, and donor recognition.
Brief Description of the CSO’s Mission: Friends of Kissimmee Prairie Preserve, Inc. was formed in 2011 to to work for the preservation, protection, interpretation and promotion of and in the best interest of Kissimmee Prairie Preserve. The Friends organization is a Florida not-for-profit 501(c)(3) corporation and relies on membership fees and private donations to pursue activities on behalf of the Preserve.
Brief Description of the CSO’s Results Obtained:
We achieved a long term goal with the installation of an artesian well in a remote primitive campsite,to benefit campers, equestrians, and Preserve fire crews.
The Preserve became Florida’s first International Dark Sky Place in January 2016. Friends sponsored a celebratory event featuring an educational presentation. We puchased a Unihedron Sky Quality Meter to take continuous readings of the Preserve’s skies, and renewed the Abrams Planetarium Sky Calendar. A member donated and installed dark-sky compliant, solar-powered lighting on the Preserve’s entry sign. Another donated a book of astro-photographs and provides telescope viewing regularly to visitors. We provided professionally designed and printed checklists of the plant, bird, and butterfly species to educate and inspire visitors and others — also available for online download and viewing at http://www.kissimmeeprairiefriends.org/ checklists--links.html
The Friends held a Spring Wildflower Buggy Adventure for members (sold out in two days) and our annual Fall Wildflower Walk, open to the public. We installed broadband internet service in the remote shop and pay for service, so staff can perform tasks requiring internet without having to travel miles to the office. (This is temporary, until the Preserve’s T1 line is extended as planned.)
We took over sale and management of firewood in the campground — freeing up Preserve staff time for other important duties. We provide a prepaid credit card to buy ice for fire crew. A Friends’ board member helps on many prescribed fires.
Our CSO promoted Kissimmee Prairie Preserve locally, manning booths at the Okeechobee Historical Fair and Battle of Okeechobee. We purchased a commemorative brick for the 2017 Okeechobee Centennial and renewed membership in the Okeechobee Chamber. Two Florida Audubon chapters were given guided tours of the Preserve by a Friends’ board member. Board members also led 1st day hikes on January 1.
With our Florida Grasshopper Sparrow Fund, we purchased a remote camera to help monitor endangered FGSP nests. Our board sent a letter of support for a FGSP disease research grant.
We purchased a sound system for Preserve buggy tours, so every participant can hear the narration.
The Friends added to and diversified the interests of our board by recruiting members from the Florida astronomy community and the Florida Trail Association. Our membership and online presence increased.
X Copy of the CSO’s Code of Ethics attached (Model provided; see CSO 2014 instructions) X Certify the CSO has completed and provided to the Department the organization’s most recent
Internal Revenue Service (IRS) Form 990, 990-EZ, or 990-N/Annual Financial Statement
Brief Description of the CSO’s Plans for Next Three Fiscal Years:
We will continue working to raise awareness about Kissimmee Prairie Preserve, add members and solicit donations in Florida, nationally, and internationally. We plan to continue holding semi- annual plant walk events (spring & fall) to introduce new people to the preserve, encourage repeat visitors, and raise funds for Friends projects to benefit the Preserve. We will also increase outreach to the local Okeechobee community, including planning and sponsoring an event in honor of the Okeechobee County Centennial and Kissimmee Prairie Preserve’s 25th anniversary (Prairie Days & Prairie Nights).
Our CSO will continue to do all we can to help the endangered Florida Grasshopper Sparrow at the Preserve, through use of our FGSP fund, and we will continue to support Kissimmee Prairie Preserve as a Dark Sky Park through our Dark Skies Fund. We also intend to hold an educational event centered around prescribed fire and its role in Preserve management.
Other goals include: sponsoring more specialized buggy tours with visiting experts as leaders, partnering with other Florida organizations to promote the Preserve, keeping species checklists updated and adding one for reptiles & amphibians, building an outdoor amphitheater for use in educational events, and looking for ways to introduce more school children to the Preserve. Our long term goals still include research housing for visiting scientists, moveable speed bumps for the road, a new, larger swamp buggy for visitor tours, prairie restoration projects, and new interpretive displays.
Friends of Kissimmee Prairie Preserve, Inc.
Code of Ethics PREAMBLE
1) It is essential to the proper conduct and operation of Friends of Kissimmee Prairie Preserve (herein “CSO”) that its board members, officers, and employees be independent and impartial and that their position not be used for private gain. Therefore, the Florida Legislature in Section 112.3251, Florida Statute (Fla. Stat.), requires that the law protect against any conflict of interest and establish standards for the conduct of CSO board members, officers, and employees in situations where conflicts may exist.
2) It is hereby declared to be the policy of the state that no CSO board member, officer, or employee shall have any interest, financial or otherwise, direct or indirect, or incur any obligation of any nature which is in substantial conflict with the proper discharge of his or her duties for the CSO. To implement this policy and strengthen the faith and confidence of the people in Citizen Support Organizations, there is enacted a code of ethics setting forth standards of conduct required of Friends of Kissimmee Prairie Preserve board members, officers, and employees in the performance of their official duties.
STANDARDS The following standards of conduct are enumerated in Chapter 112, Fla. Stat., and are required by Section 112.3251, Fla. Stat., to be observed by CSO board members, officers, and employees.
1) Prohibition of Solicitation or Acceptance of Gifts
No CSO board member, officer, or employee shall solicit or accept anything of value to the recipient, including a gift, loan, reward, promise of future employment, favor, or service, based upon any understanding that the vote, official action, or judgment of the CSO board member, officer, or employee would be influenced thereby.
2) Prohibition of Accepting Compensation Given to Influence a Vote
No CSO board member, officer, or employee shall accept any compensation, payment, or thing of value when the person knows, or, with reasonable care, should know that it was given to influence a vote or other action in which the CSO board member, officer, or employee was expected to participate in his or her official capacity.
3) Salary and Expenses
No CSO board member or officer shall be prohibited from voting on a matter affecting his or her salary, expenses, or other compensation as a CSO board member or officer, as provided by law.
4) Prohibition of Misuse of Position
A CSO board member, officer, or employee shall not corruptly use or attempt to use one’s official position or any property or resource which may be within one’s trust, or perform official duties, to secure a special privilege, benefit, or exemption.
5) Prohibition of Misuse of Privileged Information
No CSO board member, officer, or employee shall disclose or use information not available to members of the general public and gained by reason of one’s official position for one’s own personal gain or benefit or for the personal gain or benefit of any other person or business entity.
6) Post-Office/Employment Restrictions
A person who has been elected to any CSO board or office or who is employed by a CSO may not personally represent another person or entity for compensation before the governing body of the CSO of which he or she was a board member, officer, or employee for a period of two years after he or she vacates that office or employment position.
7) Prohibition of Employees Holding Office
No person may be, at one time, both a CSO employee and a CSO board member at the same time.
8) Requirements to Abstain From Voting
A CSO board member or officer shall not vote in official capacity upon any measure which would affect his or her special private gain or loss, or which he or she knows would affect the special gain or any principal by whom the board member or officer is retained. When abstaining, the CSO board member or officer, prior to the vote being taken, shall make every reasonable effort to disclose the nature of his or her interest as a public record in a memorandum filed with the person responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the minutes. If it is not possible for the CSO board member or officer to file a memorandum before the vote, the memorandum must be filed with the person responsible for recording the minutes of the meeting no later than 15 days after the vote.
9) Failure to Observe CSO Code of Ethics
Failure of a CSO board member, officer, or employee to observe the Code of Ethics may result in the removal of that person from their position. Further, failure of the CSO to observe the Code of Ethics may result in the Florida Department of Environmental Protection terminating its Agreement with the CSO.
Kissimmee Prairie Preserve State Park 33104 NW 192nd Ave.
Okeechobee, FL 34972 (863) 462-5360
May 19, 2017
Kristin Zimmerman District III Administration 1800 Wekiwa Circle Apopka, FL 32712
Dear Kristin,
I am so truly honored and happy to be associated with the Friends of Kissimmee Prairie. They are such a diverse, great, passionate, and motivated group of people. I enjoy talking and working side by side with them. The positive things the Friends group is accomplishing for Kissimmee Prairie Preserve is beyond commendable. Even better, support and interest continues to grow! I look forward to the future and smile. Again this past year, attendance to the Preserve has also grown. Many thanks to our Friends organization for assisting with all the positive and exponential growth. Their hard work has allowed for quality interpretation and experiences for guests and future visitors. The Friends of Kissimmee Prairie ability to educate, fund raise, and attract new members is a direct benefit for Kissimmee Prairie Preserve State Park and The Florida Park Service.
The Friends' connections with the Florida Native Plant society has made it possible to recruit some of the most knowledgeable plant experts in the state to guide the wild flower walks. These wild flower events have been well received and I hope they will continue semiannually. In 2016 began the planning for a new event called Prairie Days and Prairie Nights. This event required many months and a team of dedicated people. This event was complex as it highlighted many things that make the prairie special. Things such as history of cracker cattle, history of early local settlers and native americans, astronomy and dark skies, rare and threatened species, land management, and prescribed fire were all emphasized at the event. These types of educational outreach events through out the year are phenomenal! The events help to draw additional visitors, gains attention to understanding the uniqueness of the Florida dry prairie, and provides additional opportunities for the public to support the preserve.
The fund raising the CSO has done is a great accentuation to the daily, weekly, yearly operations at the preserve. In 2016 the friends purchased broadband internet for the shop maintenance facility to be better efficient with communication and maintenance needs. They also provided funds to buy ice for our fire crews. Also purchased was a digital Unihedron dark sky meter to take regular measurements and maintain our newly acquired 2016 international dark sky designation. The CSO paid for printed bird, plant, and butterfly checklists to be distributed to visitors. They also help to maintain and update the individual species lists. In 2016 the Friends accomplished a long time goal of purchasing and installing a well/ water source at the primitive camping area for fire prescribed/suppression activities. Lastly I was very happy that the Friends were able to purchase fire wood for resale to visiting campers. This firewood provides better visitor services and enables a ranger and/or volunteer to focus more time on other park projects including resource management activities
We all look forward to the upcoming new year. Together we have set new goals that will nurture quality resource based recreation while preserving, restoring and interpreting the natural and cultural resources of Kissimmee Prairie Preserve.
Sincerely,
www.kissimmeeprairiefriends.org 33104 192nd Avenue, Okeechobee, Florida 34972
May 24, 2017
Re: Kissimmee Prairie Friends Financial Report, Fiscal year 2016
Dear Daniel:
The Friends’ Financial Report shows much to be proud of in 2016. We accomplished the majority of our goals by year’s end. Our Spring Wildflower Buggy Adventure and our annual Fall Wildflower Walks successfully raised funds and friends for the Preserve. We celebrated the new IDA Dark Sky Park award at the beginning of the year, and helped the Preserve maintain this important designation with the purchase of a sky quality meter. The species checklists we provide for birds, plants, and butterflies have proven so popular they were reprinted this year in larger quantities and other parks want to emulate them. We welcomed you as Kissimmee Prairie’s new manager at our August meeting, and were happy to take on some new projects and goals — the campsite firewood sales, installation and monthly payment of the shop broadband, outfitting the buggy with a microphone and speaker system, and planning the Prairie Days and Prairie Nights event in 2017. With your help and support, we ended the year by achieving a long term goal set at our CSO’s inception in 2011 — artesian well installation at a primitive campsite. All the above, and more, are detailed in the attached Summary of Accomplishments.
Looking ahead, it’s an exciting time in be involved in the Friends of Kissimmee Prairie Preserve. Our membership, our online presence, and overall interest in the Preserve continue to grow. Three new active board members have added much to our diversity of interests and our capabilities. 2016 was the most productive year in our short history, and 2017 looks better still, with some goals already met (despite spring setbacks of a tornado and fire ban!), others underway, and a number of creative ideas and plans on the drawing board for the future.
We look forward to continuing our work with you, your staff, and volunteers— for the preservation, protection, interpretation and promotion of and in the best interest of Kissimmee Prairie Preserve.
Sincerely,
Friends of Kissimmee Prairie Preserve
www.kissimmeeprairiefriends.org 33104 192nd Avenue, Okeechobee, Florida 34972
Citizen Support Organization 2016 Statement of Accomplishments and Goals
This statement is part of the Citizen Support Organization’s (CSO’s) Annual Financial Report (see Chapter 5: Section 7) of the 2014 CSO Handbook. The primary purpose of the Annual Financial Report is to provide a summary of the most relevant information to the Department and Division, and to meet the common interests of donors, members, creditors, and others who provide resources to the not for profit organization. Report the accomplishments for the CSO’s past fiscal year and goals for the upcoming year.
A summary of CSO accomplishments from the period of Jan 1, 2016 through Dec 31, 2016 is as follows:
Estimated Total Volunteer Hours, including CSO board members and general members: 1240
2016 Total Membership: 85
List of CSO Board Members: 2017 BOD Friends of Kissimmee Prairie Preserve SP
President: Christina Evans 14437 Oak Glen Drive N., Largo, Florida 33774 (727) 317-9450, cgstudios@tampabay.rr.com
Vice-President: Tim Kozusko, 439 Dolphin Street, Melbourne Beach, Florida 32951 (321) 543-1213, timothy.j.kozusko@nasa.gov
Treasurer: Donna Bollenbach, 2111 Diane Avenue, Valrico, FL 33594 (813) 679-5597, donna.bollenbach@gmail.com
Secretary: Dave Kandz, 9685 2nd Street North, St. Petersburg, FL 33702 (727) 642-8567, dave@rbdigital.biz
Director at Large: Paul Gray, Ph.D., PO Box 707, Lorida, Florida 33857 (863) 655-1831, pgray@audubon.org
Director at Large: Dave Holko, Port St. Lucie FL 34953 (772) 579-2483, dholko@holko.org
Director at Large: Richard (Rick) Deluga, 7493 SE Teton Dr., Hobe Sound, Fl 33455 rickdeluga1@gmail.com
Friends of Kissimmee Prairie Preserve
Summary of Accomplishments for 2016:
Our Mission: The Friends of Kissimmee Prairie Preserve, Inc. was formed in 2011 to to work for the preservation, protection, interpretation and promotion of and in the best interest of Kissimmee Prairie Preserve. The Friends organization is a Florida not-for-profit 501(c)(3) corporation and relies on membership fees and private donations to pursue activities on behalf of the Preserve.
Friends of Kissimmee Prairie Preserve continues working to raise awareness and educate the public about Kissimmee Prairie Preserve, and the unique Florida prairie ecosystem it protects. Our membership and online presence increased throughout the year, and we used funds raised to promote and enhance visitors’ experience, and to help management do the same.
One big accomplishment came at the end of 2016 with the completion of a long term goal set at the very beginning of the CSO — installation of an artesian well with a hand pump in a remote primitive campsite. The well will benefit campers who will no longer need to carry in water, as well as equestrians and their horses. It also has a special fitting so it can be used fill a fire truck and provide Preserve fire crews with a water source for prescribed burns in the area.
Other accomplishments of 2016:
• After completing stringent IDA (International Dark Skies Association) requirements, the Preserve became Florida’s first International Dark Sky Place in January 2016. The CSO continues to support this important designation which has brought in many new visitors. We sponsored a celebratory event featuring an educational presentation by Florida astronomers, puchased a Unihedron Sky Quality Meter which has been permanently mounted to take continuous readings of the Preserve’s skies, and renewed the Preserve’s subscription to Abrams Planetarium Sky Calendar. One of our members donated and installed dark-sky compliant, solar-powered lighting on the Preserve’s entry sign. Another member donated an impressive book of astro-photographs taken in the Preserve. The same member provides telescope viewing regularly to visitors and is a new 2017 board member.
• Comprehensive checklists of the Preserve’s plant, bird, and butterfly species were professionally designed and printed in color to handout at events and in the park. The three checklists educate and inspire visitors and others about the diversity of species found in the Preserve, offering information such as where and when they may be found. The design and graphics were member-donated and a gener- ous in-kind donation was solicited for printing. The checklists were made available for online download and viewing as well. http://www.kissimmeeprairiefriends.org/checklists--links.html
• The Friends held a Spring Wildflower Buggy Adventure for our members (sold out in two days) and held our popular annual Fall Wildflower Walk, open to the public. The first event was led by Roger Hammer, the second by Roger and Craig Huegel, both well-known Florida botanists and authors.
• The Friends paid to install broadband internet service in the remotely located shop and pay for service, allowing manager and staff to place orders and perform tasks requiring internet without having to travel miles to the office. (Note: This is temporary, until the Preserve’s T1 line is extended as planned.)
Accomplishments continued on next page—
Friends of Kissimmee Prairie Preserve
Summary of Accomplishments for 2016 continued:
• The Friends took over sale and management of firewood in the campground at the end of 2016 by request of our manager — freeing up Preserve staff time for other important duties and providing the CSO with some additional income to apply to our mission objectives.
• The Friends provide a prepaid credit card to buy ice for fire crew staff and volunteers while they conduct prescribed burns. A Friends’ board member helps on most of the Preserve’s prescribed fires.
• Our CSO promoted Kissimmee Prairie Preserve locally by manning booths at the Okeechobee His- torical Fair and at the annual Battle of Okeechobee event. We purchased a commemorative brick for the 2017 Okeechobee Centennial and renewed membership in the Okeechobee Chamber of Commerce. Two Florida Audubon chapters were given guided tours of the Preserve by a Friends’ board member. Other board members led 1st day hikes on January 1.
• With our Florida Grasshopper Sparrow Fund, we purchased a remote camera to help monitor endangered Florida Grasshopper Sparrow nests. Our board also sent a letter of support for a Florida Grasshopper Sparrow disease research grant.
• We purchased a sound system for Preserve buggy tours, so every participant can hear the narration.
• The Friends added to and diversified the interests of our board by recruiting members from the Florida astronomy community and the Florida Trail Association.
Summary of Goals / Priorities for 2017:
We will continue working to raise awareness about Kissimmee Prairie Preserve, add members and solicit donations in Florida, nationally, and internationally. We plan to continue holding semi- annual plant walk events (spring & fall) to introduce new people to the preserve, encourage repeat visitors, and raise funds for Friends projects to benefit the Preserve. We will also increase our outreach to the local Okeechobee community, including planning and sponsoring an event in honor of the Okeechobee County Centennial and Kissimmee Prairie Preserve’s 25th anniversary (Prairie Days & Prairie Nights).
Our CSO will continue to do all we can to help the endangered Florida Grasshopper Sparrow at the Preserve, through use of our FGSP fund, and we will continue to support Kissimmee Prairie Preserve as a Dark Sky Park through our Dark Skies Fund. We also intend to hold an educational event centered around prescribed fire and its role in Preserve management.
Other goals discussed include: sponsoring more specialized buggy tours with visiting experts as leaders, partnering with other Florida organizations to promote the Preserve, keeping species checklists updated and adding one for reptiles & amphibians, building an outdoor amphitheater for use in educational events, and looking for ways to introduce more school children to the Preserve. Our long term goals still include research housing for visiting scientists, moveable speed bumps for the road, a new, larger swamp buggy for visitor tours, prairie restoration projects, and new interpretive displays.
The 2017 CSO Annual Program Plan is attached.
Friends of Kissimmee Prairie Preserve
www.kissimmeeprairiefriends.org 33104 192nd Avenue, Okeechobee, Florida 34972
Citizen Support Organization Statement on Value of Contributed Services
This statement reports on services provided to the Citizen Support Organization (CSO) from park staff support and in-kind support for the past fiscal year. The statement is part of the CSO’s Annual Financial Report described in Chapter 5: Section 7 of the 2014 CSO Handbook. The primary purpose of the Annual Financial Report is to provide a summary of the most relevant information to the Department and Division, and to meet the common interests of donors, members, creditors, and others who provide resources to the not for profit organization.
This Value of Contributed Services for a park is provided to the CSO by the park or District through the Park Programs Development Specialist. Note, the Division of Recreation and Parks operates on a cash-based method of accounting.
Park Name: Kissimmee Prairie Preserve State Park Park Address: 33104 NW 192nd Avenue, Okeechobee, Florida 34972 Name of CSO: Friends of Kissimmee Prairie Preserve Inc.
A summary of contributed services from the period of January 1, 2016 through December 31, 2016 is as follows:
Park Staff Support The total number of hours contributed in staff support services converted to a monetary amount.
The park contributed a total of $ 2954 in staff support services to the CSO.
Park Facilities Support The total amount of water, electric, and utility expenses used to support CSO events, concessions, etc.
The CSO received a total of $ 1340 in park facilities support.
In-Kind Support The CSO receives additional services outside of the park staff contributed hours called in-kind services. In-kind services are a type of charitable giving in which, instead of money, a person contributes some kind of service, good, or commodity. Examples are professional services of a lawyer, accountant, or any professional or the estimated value of a good or commodity.
The CSO received a total of $ 1471 in in-kind support services.
Friends of Kissimmee Prairie Preserve
List of Program Services
Federal charitable 501(c)(3) organizations are required to report total expenses and revenue for each program service. According to the IRS, a program service is any activity by the organization which accomplishes its charitable purposes. For each program service provide a description, total expense, and total revenue. For each program service description, clearly and concisely describe the accomplishments through specific measurements such as visitors served, days of an event, number of sessions or events held, publications issued, etc. (add pages as appropriate).
Program Service Description:
Kissimmee Prairie Wildflower Adventure was held on April 16, 2016. Well-known Florida botanist, author and orchid expert, Roger Hammer, led two 3-hour swamp buggy tours (morning and afternoon) to various locations in the Preserve for wildflower viewing and education and the driver narrated on the Preserve’s unique ecosystems and habitats. The event was a fundraiser and membership booster for our native plant enthusiasts. Registration was offered to members only the first week, and it sold out within two days and we gained some new members. Fourteen participants received a Preserve plant checklist to mark off plants they saw along the way. This small event was offered in place of our larger annual spring wildflower walk, due to unresolved scheduling issues, however, its successful format now serves as a template for future events featuring experts in different fields.
Total Expense $200.00 Total Revenue $854.00
Program Service Description:
Kissimmee Prairie Fall Wildflower Walks were held on October 15, 2016. Two 2-hour walks (morning and afternoon) were led by expert Florida botanists Craig Huegel and Roger Hammer, preceeded by an introduction to the Preserve by the manager and Florida Audubon’s Dr. Paul Gray (a Friends’ board member). Participants also enjoyed a free 45-minute swamp buggy tour with narration about KPP history and ecosystems. Each participant was given a plant checklist. This event is a popular annual fundraiser and membership booster. We had 38 participants, and six cancellations who donated their registration fee. We also added new members who took advantage of the discount on registration.
Total Expense $00.00 Total Revenue $1,355.00
Total Program Services Provide a total amount for all program expenses and a total amount for all program revenue.
CSO total program service expenses $3,585.00 - (See 990EZ Schedule O) CSO total program service revenues $2,209.00
KissimmeePrairie2017CSOLegislativeReport1A
2016 financial packet
Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
Inspection Name of the organization Employer identification number
Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital’s name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)
8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college
or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
10 An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes
of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . . . g Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organization listed in your governing
document?
(vi) Amount of other support (see
instructions)
(A)
(B)
(C)
(D)
(E)
Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 11285F Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 2 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) (a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) 2016 (f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”) . . .
2
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
3
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
4 Total. Add lines 1 through 3 . . . .
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) . . . .
6 Public support. Subtract line 5 from line 4 Section B. Total Support Calendar year (or fiscal year beginning in) (a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) 2016 (f) Total
7 Amounts from line 4 . . . . . .
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . .
9
Net income from unrelated business activities, whether or not the business is regularly carried on . . . . .
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
11 Total support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 12 13 First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 14 Public support percentage for 2016 (line 6, column (f) divided by line 11, column (f)) . . . . 14 % 15 Public support percentage from 2015 Schedule A, Part II, line 14 . . . . . . . . . . 15 % 16 a 331/3% support test—2016. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . .
b 331/3% support test—2015. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . .
17
a
10%-facts-and-circumstances test—2016. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here. Explain in Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here. Explain in Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 3 Part III Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal year beginning in) (a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) 2016 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”)
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose . . .
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization’s benefit and either paid to or expended on its behalf . . .
5
The value of services or facilities furnished by a governmental unit to the organization without charge . . . .
6 Total. Add lines 1 through 5 . . . . 7a Amounts included on lines 1, 2, and 3
received from disqualified persons .
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year
c Add lines 7a and 7b . . . . . . 8 Public support. (Subtract line 7c from
line 6.) . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) (a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) 2016 (f) Total
9 Amounts from line 6 . . . . . . 10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources .
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 . . . .
c Add lines 10a and 10b . . . . . 11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) . . . . . . .
13 Total support. (Add lines 9, 10c, 11, and 12.) . . . . . . . . . .
14 First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage 15 Public support percentage for 2016 (line 8, column (f) divided by line 13, column (f)) . . . . . 15 % 16 Public support percentage from 2015 Schedule A, Part III, line 15 . . . . . . . . . . . 16 %
Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2016 (line 10c, column (f) divided by line 13, column (f)) . . . 17 % 18 Investment income percentage from 2015 Schedule A, Part III, line 17 . . . . . . . . . . 18 % 19a 331/3% support tests—2016. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization .
b 331/3% support tests—2015. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 4 Part IV Supporting Organizations
(Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations Yes No
1 Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 1
2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). 2
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer (b) and (c) below. 3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination. 3b
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use. 3c
4a Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked 12a or 12b in Part I, answer (b) and (c) below. 4a
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. 4b
c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. 4c
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). 5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? 5b
c Substitutions only. Was the substitution the result of an event beyond the organization's control? 5c 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI. 6
7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ). 7
8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ). 8
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI. 9a
b Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI. 9b
c Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI. 9c
10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer 10b below. 10a
b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 10b
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 5 Part IV Supporting Organizations (continued)
Yes No 11 Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization? 11a
b A family member of a person described in (a) above? 11b c A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI. 11c
Section B. Type I Supporting Organizations Yes No
1 Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1 2 Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization. 2
Section C. Type II Supporting Organizations Yes No
1 Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s). 1
Section D. All Type III Supporting Organizations Yes No
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided? 1
2 Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 2
3 By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard. 3
Section E. Type III Functionally Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
a The organization satisfied the Activities Test. Complete line 2 below. b The organization is the parent of each of its supported organizations. Complete line 3 below. c The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).
Yes No 2 Activities Test. Answer (a) and (b) below. a Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. 2a
b Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement. 2b
3 Parent of Supported Organizations. Answer (a) and (b) below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or
trustees of each of the supported organizations? Provide details in Part VI. 3a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each
of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard. 3b Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 6 Part V Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1 Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year (optional)
1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3. 4 5 Depreciation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4). 8
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year (optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities 1a b Average monthly cash balances 1b c Fair market value of other non-exempt-use assets 1c d Total (add lines 1a, 1b, and 1c) 1d e Discount claimed for blockage or other factors (explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d. 3 4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by .035. 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 2 Enter 85% of line 1. 2 3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 4 Enter greater of line 2 or line 3. 4 5 Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6 7 Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see
instructions).
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 7 Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)Part V
Section D - Distributions Current Year 1 Amounts paid to supported organizations to accomplish exempt purposes 2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6. 8 Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions. 9 Distributable amount for 2016 from Section C, line 6
10 Line 8 amount divided by Line 9 amount
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii) Underdistributions
1 Distributable amount for 2016 from Section C, line 6
2 Underdistributions, if any, for years prior to 2016 (reasonable cause required—explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2016: a b c From 2013 . . . . . d From 2014 . . . . . e From 2015 . . . . . f Total of lines 3a through e g Applied to underdistributions of prior years h Applied to 2016 distributable amount i Carryover from 2011 not applied (see instructions) j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4 Distributions for 2016 from Section D, line 7: $
a Applied to underdistributions of prior years b Applied to 2016 distributable amount c Remainder. Subtract lines 4a and 4b from 4.
5
Remaining underdistributions for years prior to 2016, if any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6
Remaining underdistributions for 2016. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2017. Add lines 3j and 4c.
8 Breakdown of line 7: a b Excess from 2013 . . .
c Excess from 2014 . . . d Excess from 2015 . . . e Excess from 2016 . . .
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016 Page 8 Part VI Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part
III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990 or 990-EZ) 2016
Version A, Cycle 10
2016 Form 990 or 990-EZ (Schedule A)
SE:W:CAR:MP
Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. 
 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
O M B Number 1545-0047. For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-E Z.
2016
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital’s name, city, and state:
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in  section 170(b)(1)(A)(iv). (Complete Part II.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public  described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
9
An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
10
An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f
g
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1–10 above (see instructions))
(iv) Is the organizationlisted in your governing document?
(v) Amount of monetary support (see 
instructions)
(2) Employer Identification Number.
(3) Type of organization (described on lines 1 through 10 above (see instructions)).
Yes
(4) Is the organization listed in your governing document? Yes.
No
(4) Is the organization listed in your governing document? No.
(5) Amount of monetary support (see instructions).
(6) Amount of other support (see instructions).
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 11285F
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) 
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
(a) 2012
(b) 2013
(c) 2014
(d) 2015
(e) 2016
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”)          
2
Tax revenues levied for the organization’s  benefit and either paid to or expended on  its behalf          
3
The value of services or facilities furnished by a governmental unit to the organization without charge          
4
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)          
6
Section B. Total Support
(a) 2012
(b) 2013
(c) 2014
(d) 2015
(e) 2016
(f) Total
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar  sources          
Line 8. Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources (a) 2005.
9
Net income from unrelated business activities, whether or not the business is  regularly carried on          
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)          
11
12
12
13
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here           
Section C. Computation of Public Support Percentage
14
Public support percentage for 2016 (line 6, column (f) divided by line 11, column (f))          
14
15
Public support percentage from 2015 Schedule A, Part II, line 14          
15
16
a
331/3% support test—2016. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization             
b
331/3% support test—2015. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization            
17
a
10%-facts-and-circumstances test—2016. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or  more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here. Explain in Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly supported organization            
b
10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here. Explain in Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly supported organization           
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions           
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. 
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
(a) 2012
(b) 2013
(c) 2014
(d) 2015
(e) 2016
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any “unusual grants.”)
2
Gross receipts from admissions, merchandise  sold or services performed, or facilities furnished in any activity that is related to the organization’s tax-exempt purpose          
3
Gross receipts from activities that are not an unrelated trade or business under section 513
4
Tax revenues levied for the organization’s  benefit and either paid to or expended on  its behalf          
5
The value of services or facilities furnished by a governmental unit to the organization without charge          
6
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons          
b
Amounts included on lines 2 and 3 received  from other than disqualified persons that exceed the greater of $5,000 or 1% of the  amount on line 13 for the year          
c
8
Section B. Total Support
(a) 2012
(b) 2013
(c) 2014
(d) 2015
(e) 2016
(f) Total
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources          
b
Unrelated business taxable income (less  section 511 taxes) from businesses acquired after June 30, 1975          
c
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on          
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)          
13
14
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)  organization, check this box and stop here           
Section C. Computation of Public Support Percentage
15
Public support percentage for 2016 (line 8, column (f) divided by line 13, column (f))          
15
16
Public support percentage from 2015 Schedule A, Part III, line 15          
16
17
Investment income percentage for 2016 (line 10c, column (f) divided by line 13, column (f))          
17
18
Investment income percentage from 2015 Schedule A, Part III, line 17          
18
19
a
331/3% support tests—2016. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization           
b
331/3% support tests—2015. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization   
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions    
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016
Page 4
Part IV
Supporting Organizations 
(Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents? If “No,” describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain.
1
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If “Yes,” explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
3
a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If “Yes,” answer (b) and (c) below.
3a
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If “Yes,” describe in Part VI when and how the organization made the determination.
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If “Yes,” explain in Part VI what controls the organization put in place to ensure such use.
3c
4
a
Was any supported organization not organized in the United States (“foreign supported organization”)? If “Yes,” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
5
a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
7
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
9
a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
10
a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer 10b below.
10a
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.)
10b
Page 5
Part IV
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
b
A family member of a person described in (a) above?
11b
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If “No,” explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If “Yes,” describe in Part VI the role the organization’s supported organizations played in this regard.
3
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions).
a
The organization satisfied the Activities Test. Complete line 2 below.
b
The organization is the parent of each of its supported organizations. Complete line 3 below.
c
The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).
Yes
No
2
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If “Yes,” then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If “Yes,” explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
3
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
b
Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If “Yes,” describe in Part VI the role played by the organization in this regard.
3b
Page 6
Part V
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income
(A) Prior Year
(A) Prior Year.
1 Net short-term capital gain
Line 11g. Provide the following information about the supported organization (or organizations). Item A. (1) Name of supported organization. 2 lines available for entry.
2 Recoveries of prior-year distributions
Line 11g. Item B. 2 lines available for entry.
3 Other gross income (see instructions)
Line 11g. Item C. 2 lines available for entry.
4 Add lines 1 through 3.
Line 11g. Item D. 2 lines available for entry.
5 Depreciation and depletion
Line 11g. Item E. 2 lines available for entry.
6 Portion of operating expenses paid or incurred for production or 
collection of gross income or for management, conservation, or 
maintenance of property held for production of income (see instructions)
7 Other expenses (see instructions)
8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4).
Section B - Minimum Asset Amount
(A) Prior Year
(A) Prior Year.
1 Aggregate fair market value of all non-exempt-use assets (see 
instructions for short tax year or assets held for part of year):
Line 11g. Provide the following information about the supported organization (or organizations). Item A. (1) Name of supported organization. 2 lines available for entry.
a Average monthly value of securities
Line 11g. Item B. 2 lines available for entry.
b Average monthly cash balances
Line 11g. Item C. 2 lines available for entry.
c Fair market value of other non-exempt-use assets
Line 11g. Item D. 2 lines available for entry.
d Total (add lines 1a, 1b, and 1c)
Line 11g. Item E. 2 lines available for entry.
2 Acquisition indebtedness applicable to non-exempt-use assets
3 Subtract line 2 from line 1d.
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).
5 Net value of non-exempt-use assets (subtract line 4 from line 3)
6 Multiply line 5 by .035.
7 Recoveries of prior-year distributions
8 Minimum Asset Amount (add line 7 to line 6)
Section C - Distributable Amount
Current Year.
1 Adjusted net income for prior year (from Section A, line 8, Column A)
Line 11g. Provide the following information about the supported organization (or organizations). Item A. (1) Name of supported organization. 2 lines available for entry.
2 Enter 85% of line 1.
Line 11g. Item B. 2 lines available for entry.
3 Minimum asset amount for prior year (from Section B, line 8, Column A)
Line 11g. Item B. 2 lines available for entry.
4 Enter greater of line 2 or line 3.
Line 11g. Item B. 2 lines available for entry.
5 Income tax imposed in prior year
Line 11g. Item E. 2 lines available for entry.
6 Distributable Amount. Subtract line 5 from line 4, unless subject to 
emergency temporary reduction (see instructions).
7
Check here if the current year is the organization’s first as a non-functionally integrated Type III supporting organization (see instructions).
Schedule A (Form 990 or 990-EZ) 2016
Schedule A (Form 990 or 990-EZ) 2016
Page 7
Part V
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3
4
5
6
7
8
Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions.
9
10
Section E - Distribution Allocations (see instructions)
(i) Excess Distributions
(ii) Underdistributions Pre-2016
1
2
Underdistributions, if any, for years prior to 2016 (reasonable cause required—explain in Part VI). See instructions.
3
a
b
c
d
e
f
g
h
i
j
4
a
b
c
5
Remaining underdistributions for years prior to 2016, if any. Subtract lines 3g and 4a from lin